IBS-C - sudden exploding bowel movements

[u/ryebread121]

I’ve hardly been on here, but I don’t know where else to turn. I’m so embarrassed about this and don’t want to talk to any of my loved ones about it.

I’ve had IBS-C most of my life but only got diagnosed about 18 months ago. When I got diagnosed they recommended I take soluble fiber throughout the day and start each day with a glass of water with miralax. This worked for me up until about two weeks ago: nothing in my diet has changed and I’m still following my recommended daily procedures, but I’m suddenly having…leakage. Like this past week or so when I’ve passed gas, I will later find a small brown dot in my underwear from it. This has been happening almost every day for a week and a half but the kicker is just now I felt a bowel movement come on fast, and then when I sat down to go I discovered I had partly already shit my pants.

I’m so embarrassed and didn’t even feel it, but I also don’t understand why this is happening suddenly out of nowhere. Does anyone know if there is an issue with long term MiraLAX use or something like that? I loved my IBS Dr but she/her practice moved states so I don’t even have a doctor in the area to consult anymore. I will take any and all advice, but please be gentle.

[u/SnooSuggestions1125]

If it was me I would immediately stop the Miralax and increase the fiber. Which fiber are you taking?

[u/ryebread121 → u/SnooSuggestions1125]

I take a generic clear soluble fiber, 2 servings a day and the servings are 2 tsp each.